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  1. Form DH 681, Religious Exemption From Immunization, is issued if immunizations are in conflict with the religious tenets and practices of the child's parent or guardian. This exemption is issued by a County Health Department (CHD) and based on established religious beliefs or practices only.

  2. RELIGIOUS EXEMPTIONS (DH Form 681) - Individuals requesting Religious Exemptions for children need to apply in person and bring child birth certificate and parent/guardian ID. Religious Exemptions do not require an appointment.

  3. Nov 18, 2021 · Exemption Statement. Pursuant to section 381.00317, Florida Statutes: I hereby declare that I decline the COVID-19 vaccination because of a sincerely held religious belief, which may include a sincerely held moral or ethical belief.

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  4. Nov 18, 2021 · Florida employees can choose to be exempt from private employer vaccine mandates for: Medical Exemption from COVID-19 Vaccination; Religious Exemption from COVID-19 Vaccination; Exemption from COVID-19 Vaccination Based on COVID-19 Immunity; Exemption from COVID-19 Vaccination Based on Periodic Testing

  5. REQUEST FOR RELIGIOUS EXEMPTION FROM IMMUNIZATIONS. I am requesting a Religious Exemption from Immunization/s for the following child. Name: ________________________________________________________________. Date of Birth: _____________________.

  6. I am requesting a Religious Exemption from Immunization/s for the following child. Name: ________________________________________________________________. Date of Birth: _____________________.

  7. immunization waiver – religious or medical exemption Florida Southern College (“FSC”) requires that all students submit proof of certain vaccinations as set forth in Section A of FSC’s Immunization Form (the “Form”, available here:

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